主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2018, Vol. 41 ›› Issue (9): 709-712.doi: 10.3969/j.issn.1006-2157.2018.09.001

• 理论研究 •    下一篇

对“因发知受”发病学原理的探讨*

宋美芳, 陈家旭#, 卞庆来, 彭晨习, 孙雪彬   

  1. 北京中医药大学中医学院 北京 100029
  • 收稿日期:2018-03-28 出版日期:2018-09-30 发布日期:2018-09-30
  • 通讯作者: 陈家旭,教授,博士生导师,主要研究方向:中医诊断学,E-mail: chenjx@bucm.edu.cn
  • 作者简介:宋美芳,女,在读硕士生
  • 基金资助:
    国家自然科学基金资助项目(No.81473597,81630104), 教育部和国家外专局高等学校学科创新引智计划资助项目(No.B07007)

On pathogenic theory of “speculating nosopoietic factors according to symptoms and signs”*

Song Meifang, Chen Jiaxu#, Bian Qinglai, Peng Chenxi, Sun Xuebin   

  1. School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2018-03-28 Online:2018-09-30 Published:2018-09-30
  • Supported by:
    National Natural Science Foundation of China (No. 81473597, No. 81630104), Higher Education Innovation and Intelligence Introduction Program of Ministry of Education and National Foreign Affairs Bureau (No. B07007)

摘要: 清初医家钱潢用“外邪之感,受本难知,发则可辨,因发知受”,高度概括了机体因感受外邪而发病,医家们再依据发病的症状体征推测病因,从而求得病机、进行论治的思维过程。因发知受的本质,实际上包括了审证求因、由因求机和审机论治3个过程,由“因机”预测“发”,由“发”知“因机”,再审机论治。在临床中,结合现代科技手段及现代辨证体系,对还未显现出临床症状的疾病进行预测和干预治疗,即“未发”亦“知因机”,实现“司内揣外”,与传统中医“司外揣内”相互补充。因发还能知传知变,对疾病的预后与转归有一定指导作用。

关键词: 因发知受, 病因, 病机, 发病, 审证求机

Abstract: Qian Huang highly summarized pathogenic laws of disease, disease invasion due to external pathogen, in traditional Chinese medicine (TCM) with sixteen Chinese words, including “speculating nosopoietic factors according to symptoms and signs”, and later doctors have summed up the thinking process of speculating nosopoietic factors, acquiring pathogenesis and giving treatment according to symptoms and signs. The essence of “speculating nosopoietic factors according to symptoms and signs” actually has 3 procedures: speculating disease causes according to patterns, speculating pathogenesis according to disease causes, and giving treatment after investigating pathogenesis. Disease invasion is predicted according to disease causes and pathogenesis, disease causes and pathogenesis are understood from disease invasion, and treatment is given after investigating pathogenesis. In clinical practice, modern science and technology and modern differentiation pattern system are combined to predict and give interventional treatment to the diseases without showing clinical symptoms. “Speculating nosopoietic factors according to symptoms and signs” can be also applied to understand disease transmission and transmutation, and guide to know disease prognosis and outcome.

Key words: speculating nosopoietic factors according to symptoms and signs, disease causes, pathogenesis, disease invasion, investigating pathogenesis according to patterns

中图分类号: 

  • R241